Johnson, Vicki Diane

Johnson, Vicki Diane is an sole proprietor health care provider with primary practice located at 68615 Perez Rd Suite 2A, Cathedral City CA 92234-7200. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Vicki Diane can be contacted via phone (760) 770-2242.

Contact Information

Primary practice address
68615 Perez Rd Suite 2A Cathedral City CA 92234-7200
Phone: (760) 770-2242
Fax: (760) 770-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1396968558
LBN Legal business name Johnson, Vicki Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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